Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Decatur, IN: $49.60

Avg. Paid

$49.60

Range

$21.19 – $77.45

Total Claims

52,517

Providers

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Decatur, IN

Provider	Avg. Paid	Claims	Patients
Nicholas W Lazoff 1100 Mercer Ave	$55.58	5,626	4,727
Yu Liu 1100 Mercer Ave	$49.60	5,078	3,178
Mary Cole 1300 Mercer Ave	$55.04	4,013	3,226
Joshua J Fullenkamp 1100 Mercer Ave	$58.42	3,750	3,074
Kathleen A. Heimann 1100 Mercer Ave	$57.40	3,605	2,621
Alicia Kay Bates 1100 Mercer Ave	$38.73	3,582	2,694
Jessamine A Hippensteel 1100 Mercer Ave	$62.91	2,206	1,703
Alberto Jose Delgado 1100 Mercer Ave	$41.99	2,179	1,571
Haleigh Jordan Nidlinger 1100 Mercer Ave	$64.57	1,972	1,668
Maybelle Holt 1300 Mercer Ave	$53.96	1,810	1,390
David Scott Colclasure 1100 Mercer Ave	$25.63	1,804	1,142
Amber Lautzenheiser 1100 Mercer Ave	$56.18	1,589	1,212
Thomandram Sekar 1100 Mercer Ave	$36.34	1,557	1,266
Ann Marie Geimer 1100 Mercer Ave	$46.80	1,433	1,023
Adams County Memorial Hospital 1100 Mercer Ave	$25.34	1,392	991
Heather Ormiston-Leclear 632 S 13Th St	$53.81	1,316	1,099
Alisha K. Brincefield 955 High St	$37.48	1,240	873
David A Coats 1100 Mercer Ave	$45.31	988	714
Debra K Brandenberger 1100 Mercer Ave	$21.19	979	457
Valorie Clouse 1100 Mercer Ave	$46.63	805	605
Brittany Rumple 1100 Mercer Ave	$33.83	715	490
Kaylin Lutter 1100 Mercer Ave	$48.48	712	607
Keith A Harvey 955 High St	$41.86	697	506
Tobin Lee Eicher 1100 Mercer Ave	$77.45	570	423
Michael E Ainsworth 1100 Mercer Ave	$52.19	543	435
Edward Resendez 1100 Mercer Ave	$45.61	464	360
Alyssa Hoopingarner 1100 Mercer Ave	$53.59	435	356
Lisa Marie Ferrando 1100 Mercer Ave	$72.76	311	227
Elizabeth Hollingsworth 1300 Mercer Ave	$70.63	243	192
Elizabeth Ann Blume 1100 Mercer Ave	$55.29	238	219
Dominique L Sanchez 1100 Mercer Ave	$49.13	191	173
Modnath Sangroula 955 High St Ste 1	$46.40	185	156
Joy Davis Kannookaden 1100 Mercer Ave	$23.40	146	93
Bradley D Boyle 955 High St	$23.57	81	62
Samantha Rose Vergara 1100 Mercer Ave	$71.37	31	29
Erin M Whitman 1100 Mercer Ave	$36.16	19	12
Syed Mustafa Hasan 1100 Mercer Ave	$55.91	12	12

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Decatur, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decatur, IN is $49.60 per claim, based on 52,517 claims from 37 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Decatur, IN?

There are 37 Medicaid providers offering Office Visit related services in Decatur, IN according to public payment data.

What is the price range for Office Visit in Decatur, IN?

Medicaid reimbursement for Office Visit in Decatur, IN ranges from $21.19 to $77.45 per claim, with an average of $49.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Decatur, IN: $49.60

Providers Offering Office Visit in Decatur, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Decatur, IN

Emergency Room Visit

Blood Work & Lab Tests

Speech Therapy

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation

Nursing Facility Care

Ambulance Transport

Home Health Visit